RT Journal Article T1 Targeted Next Generation Sequencing in Patients with Inborn Errors of Metabolism A1 Yubero, Delia A1 Brandi, Nuria A1 Ormazabal, Aida A1 Garcia-Cazorla, Angels A1 Perez-Duenas, Belen A1 Campistol, Jaime A1 Ribes, Antonia A1 Palau, Francesc A1 Artuch, Rafael A1 Armstrong, Judith A1 Working Grp, K1 Exonic splicing enhancer K1 Molecular diagnosis K1 Mendelian disorders K1 Hartnup disorder K1 Gene K1 Deficiency K1 Mutation K1 Diseases K1 Acid K1 Childhood AB BackgroundNext-generation sequencing (NGS) technology has allowed the promotion of genetic diagnosis and are becoming increasingly inexpensive and faster. To evaluate the utility of NGS in the clinical field, a targeted genetic panel approach was designed for the diagnosis of a set of inborn errors of metabolism (IEM). The final aim of the study was to compare the findings for the diagnostic yield of NGS in patients who presented with consistent clinical and biochemical suspicion of IEM with those obtained for patients who did not have specific biomarkers.MethodsThe subjects studied (n = 146) were classified into two categories: Group 1 (n = 81), which consisted of patients with clinical and biochemical suspicion of IEM, and Group 2 (n = 65), which consisted of IEM cases with clinical suspicion and unspecific biomarkers. A total of 171 genes were analyzed using a customtargeted panel of genes followed by Sanger validation.ResultsGenetic diagnosis was achieved in 50% of patients (73/146). In addition, the diagnostic yield obtained for Group 1 was 78% (63/81), and this rate decreased to 15.4% (10/65) in Group 2 (X-2 = 76.171; p PB Public library science SN 1932-6203 YR 2016 FD 2016-05-31 LK https://hdl.handle.net/10668/25605 UL https://hdl.handle.net/10668/25605 LA en DS RISalud RD Apr 6, 2025